Larry Gross, is a
Licensed Practical Nurse based in Cecil, Ohio. Larry Gross is licensed to practice in Ohio (license number 134002) and his current practice location is
18880 Road 115, Cecil, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 439-2973.
NPI number for Larry Gross is 1265712533 and his current mailing address is 18880 Road 115, Cecil, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265712533.
Provider's Profile
| Full Name | Larry Gross |
|---|
| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | 18880 Road 115, Cecil, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265712533
- Provider Enumeration Date: 08/18/2011
- Last Update Date: 08/18/2011
Medical Identifiers
Medical identifiers for Larry Gross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265712533 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 134002 (Ohio) | Primary |
| 164W00000X | Licensed Practical Nurse | 27066143A (Indiana) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry Gross is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Larry Gross,
18880 Road 115,
Cecil, OH 45821-9426
Ph: (419) 439-2973 | Larry Gross,
18880 Road 115,
Cecil, OH 45821-9426
Ph: (419) 439-2973 |
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